Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $42.90 / $42.90	Facility		$42.90	$42.90	$42.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $42.90 / $51.48	Professional		$42.90	$42.90	$51.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.47	Professional		$50.00	$50.00	$50.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $47.11 / $47.11	Facility		$47.11	$47.11	$47.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $47.11 / $47.11	Professional		$47.11	$47.11	$47.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $62.03 / $234.60	Professional		$44.17	$62.03	$234.60
United Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $50.47 / $69.94	Professional		$50.47	$50.47	$69.94